Advanced Medical Education

Metabolic Medical Institute provides a comprehensive educational framework of live classes at the World Congress that will teach the knowledge and skills required to become a successful practitioner of Metabolic, Preventive and Integrative Medicine. The MMI trained professional will become the standard for the wellness-oriented provider – one deeply grounded in systems biology and advanced methods of care – yet connected to the individuality and uniqueness of the patient.

A Metabolic and Functional Approach to Endocrinology

December 9 – 11, 2016 | Schedule Subject to Change

This module provides a functional overview of hormonal changes that manifest in men & women with aging, including the functions & interplay of specific hormones in the body. It discusses how best to identify, test for & treat hormonal deficiencies & dysfunctions, such as with hormone replacement & medication compounding.

Dr. Pamela Smith gives a quick overview of the first module of our Fellowship in Metabolic and Nutritional Medicine (FMNM), and explains why this is the best program to begin your journey toward learning the New Medicine. You will have access to new information and new techniques to help your patients have an endocrinology experience that is balanced.

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Upon completion of this module, the participants will:

  • Evaluate a patient for iodine deficiency
  • Review the roles iodine plays in the body
  • Discuss treatment of iodine deficiency
  • Recognize the symptoms of PMS
  • Recall treatment modalities for PMS
  • Test the criterion required to make the diagnosis of PCOS
  • Discuss conventional & metabolic treatments for PCOS
  • Discuss the Women’s Health Initiative findings & its clinical implications
  • Interpret the structure of the sex hormones & their metabolism
  • Describe the adrenal system & its effects on other sex hormones & hormone replacement
  • Review of the key signs & symptoms of adrenal fatigue
  • Practice the physical examination findings present in adrenal fatigue
  • Name the laboratory tests that aid in the diagnosis of adrenal fatigue
  • Discuss the differences between compounding & manufacturing medications
  • Review the various licenses needed to compound medications
  • Discuss the various patient care areas that involve specialized compounding
  • Review various medication dosage forms that can be compounded
  • Discuss the various types of equipment needed in compounding
  • Recognize the hormonal changes that women & men manifest with aging
  • Discuss the functions of estrogen, progesterone, testosterone & DHEA in the body
  • Compare the differences between synthetic & bio-identical hormones
  • Review the literature on synthetic & bio-identical hormone replacement
  • Propose reasons bio-identical hormone replacement should be considered
  • Assess treatment, adjust dosages, alleviate side effects of BHRT
  • Recognize the clinical manifestations of hypothyroidism
  • Recall the crucial role that iodine has in the function of the thyroid gland
  • Prescribe or suggest treatment for hormone replacement including compounded thyroid medications
  • Investigate the importance of measuring tissue level of hormones, in diagnosing hormonal imbalances & in monitoring bio-identical hormone replacement
  • Discuss the advantages & disadvantages of testing hormone levels in different body fluids
  • Evaluate the urine monitoring of hormone levels & metabolites. Specific algorithms will
  • be shared to facilitate ease of use in clinical practice
  • Discuss the methodology of scientific support for & the differences in, saliva, urine & blood testing of hormones


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Clinical Practice Protocols (Non-CME)

December 9 – 11, 2016 | Schedule Subject to Change

In integrative medicine there is no single solution to a difficult clinical problem. Clinical Practice Protocols is designed to teach learners how to think for themselves about complex cases. This module is designed to encourage reasoning and decision making. Personalized medicine is unique to each patient, there is no cookbook of recipes to follow.

Module 8 is a culmination of the first 7 modules. The learning atmosphere will encourage decision making to happen amongst colleagues and learners. There will be know right answer. The groups themselves will have various levels of expertise and knowledge allowing for learners to explore their own methods of treating patients effectively.

Join Andrew Heyman, MD for a free webinar as he gives a preview of MMI’s most comprehensive and foundational Fellowship course- Module VIII: Clinical Practice Protocols. This course includes interactive case presentations and the chance to connect with expert faculty and Fellowship co-chairs.

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Module I Endocrinology: Pam Smith, MD

  • Recognize the hormonal changes that women & men manifest with aging and discuss the functions of estrogen, progesterone, testosterone & DHEA in the body
  • Synthesize knowledge regarding hormone replacement therapies in men and women, to conduct case analysis of complex hormonal imbalances including PMS, PCOS, and menopause and andropause
  • Demonstrate mastery of managing patients related to age-related and premature hormone decline, hormone metabolism and disposition, epigenetics, and environmental influences on endocrinopathies
  • Apply learning to patients with obesity, insulin resistance and diabetes to correct dysglycemia due to poor dietary habits, nutrient deficiencies, hormonal imbalances and toxic exposures.
  • Discuss the differences between compounding & manufacturing medications and review the various licenses needed to compound medications

Module II Cardiology: Doreen Saltiel, MD

  • Discuss accepted and emerging risk factors for heart disease including elevated cholesterol, triglycerides, lipid fractionation, homocysteine, lipoprotein (a), ferritin, fibrinogen & c-reactive protein
  • Apply advanced lipid testing (lipid particle number and size and HDL functionality and quality) for the diagnosis and treatment of dyslipidemia in clinical practice.
  • Analyze cases of CVD, CHD and renal disease Mutilizing the model of inflammation, oxidative stress and vascular immune dysfunction to prevent and treat atherosclerosis utilizing lifestyle, nutritional, nutraceutical and metabolic medical therapies

Module III Neurology: Elizabeth Stuller, MD

  • Discuss major neurotransmitter activity in the nervous system & their functional roles in behavior & neurological conditions
  • Synthesize knowledge regarding exposures, biological toxins, and their impact on the neuroimmune and gut-neuro axis including innate immune pathology, dysautonomias and structural brain related changes in chronic mood and cognitive disorders.
  • Apply new functional and integrative treatment modalities for sleep disorders, multiple sclerosis, stroke recovery, Parkinson’s Disease, ALS & Alzheimer’s disease and related conditions

Module IV Gastroenterology: Liz Lipski, PhD

  • Apply concepts of leaky gut, dysbiosis, hypochlorhydria, and immune intolerance in GI related conditions
  • Properly diagnose and treat GERD, peptic ulcer disease, irritable syndrome and food sensitivities utilizing a metabolic and nutritional approach in selected cases.
  • Demonstrate ability to utilize new diagnostic tests including DAO, LPS, zonulin, microbial, and immunologic panels in common GI disorders
  • Solve complex gastroenterology cases that represent key systems biology relationships to the nervous and immune systems

Module V Nutrition and Exercise Prescription: Jim Lavalle, RPh

  • Understand the key factors in fat loss and a practical way to identify disruptors of metabolic efficiency and reserve. This discussion to include labs, biometrics and subjective data.
  • Apply a personalized exercise prescription plan with practical lifestyle therapies, graded fitness recommendations and discuss integrated patient profiles drawn from all modules of the fellowship.
  • Demonstrate proficiency for utilizing proper biomechanical evaluation in the trained and untrained athlete
  • Introduce and explain the concept of nutrition periodization, metabolic efficiency training, compounded prescriptions and dietary supplementation

Module VI Toxicology: Jim Lavalle, RPh

  • Know the mechanisms of toxic injury including disturbances in cell signaling, alterations in structural entities such as the mitochondria & impaired synthesis of specific molecules such as fatty acids, proteins, nucleotides, glutathione & phospholipids
  • Demonstrate ability to Identify and remove toxic heavy metals and organic pollutants in selected patient cases, utilizing lifestyle factors, dietary supplements, supportive modalities and selected medications while protecting key organs of detoxification
  • Apply knowledge of biological toxins to complex patient presentations to address and correct neuroimmune dysfunction, spectrum disorders, neurocognitive decline and neurologic diseases

Module VII Immunology: Andrew Heyman, MD

  • Apply a functional and metabolic model to auto-immune conditions by assessing environmental triggers, nutrient deficiencies, hormonal imbalances, microbial load and dysbiosis, stress and poor lifestyle choices.
  • Demonstrate understanding of the cellular & molecular biology of immunity, factors that lead to loss of immune tolerance, and methods to restore normal immune function in Parkinson’s Disease, Mulitple Sclerosis and Alzheimer’s Disease.
  • Synthesize and apply concepts related to assessment and management of acute and chronic inflammation in clinical cases and utilize Lifestyle, metabolic and functional modalities in treatment planning


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The goal of the Metabolic Medical Institute is to set a new standard of medical education, and to help practitioners better serve their patients, speaking a new language of health and wellness, fueled by the latest science. It is far better to prevent illness and build health than it is to treat disease when it has already taken hold.

The Fellowship in Metabolic and Nutritional Medicine, (FMNM) takes the above statement to a practical level: this program prepares practitioners to become leaders in a new form of medicine, one that is personalized, preventive and predictive. Our attendees learn a wellness-oriented approach to care, built on the latest breakthroughs in research across diverse medical and health care disciplines.